Organization
RUDOLPH R LEIDL DMD FACD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUDOLPH R LEIDL DMD (OWNER PRESIDENT)
(908) 876-3458
Entity
Organization
Contact information
Practice address
2 MOUNTAIN VIEW AVE, LONG VALLEY, NJ 07853
(908) 876-3458
(908) 876-9121
Mailing address
2 MOUNTAIN VIEW AVE, LONG VALLEY, NJ 07853
(908) 876-3458
(908) 876-9121
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI01106300
NJ
Other
Enumeration date
11/08/2006
Last updated
08/22/2020
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